The Triple CAB Model: Enhancing Cognition, Affect, and Behavior in Adults with Intellectual Disability

  • Hefziba Lifshitz


This chapter combines social and educational theories relating to the interaction of individuals with ID with their environment, as a backdrop to the triple CAB model for developing the cognition, affect, and behavior of adults with ID ranging from mild to profound levels of severity, across the lifespan. The chapter first traces the multilevel public stigma approach, the social-ecological model, and other theories at the foundation of the triple CAB intervention perspective. Then, the chapter reviews prior intervention research on the quality of mediational interaction. Next, the development of the CAB intervention model is traced, delineating its three major components – Cognition (intelligence), Affect (including autonomy, meaning, human values, encouragement), and Behavior (adaptive and social skills) – as well as the various parameters recommended for mediating each component. The triple CAB model is advocated as a sustainable way of life that can systematically enhance clients’ intrapersonal functioning while also reducing interpersonal stigma across all ecological levels in adult service agencies, facilities, families, and communities – thereby not only promoting the development and growth of adults with ID but also their inclusion and participation as much as possible in society.


Stigma effect Pessimism Triple CAB intervention Cognition Affect Behavior Mediational interaction Sustainability 


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Authors and Affiliations

  • Hefziba Lifshitz
    • 1
  1. 1.Head of MA Program in Intellectual Disability, School of EducationBar-Ilan UniversityRamat GanIsrael

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